Speaker 1: You're listening to I'm Mother and mea podcast.
Speaker 2: Hello, and welcome to the brand new era of well
Speaker 2: the podcast for your Health and Body Explained. I'm doctor
Speaker 2: Jinny Mansberg. I'm a GENP and a women's health expert,
Speaker 2: and basically, I'm here to talk about the annoying, the
Speaker 2: embarrassing and the scary when it comes to women's.
Speaker 1: Health, because chances are I've heard it, I've.
Speaker 2: Seen it, i've smelted, i've touched it, and I've definitely.
Speaker 1: Traded it all before. And I'm Cas Mahoney, a comedian
Speaker 1: and an author. I always have crystals in my bra
Speaker 1: and I like to bring the woo woo because I
Speaker 1: love shocking Dr Ginny with the things I've bought online,
Speaker 1: the wellness supplements and the occasional psychic reading.
Speaker 2: You just keep me entertained. I love it.
Speaker 1: I love it for us. I've got some crystals here
Speaker 1: in my bag, right, Okay, So what are we discussing today? Well,
Speaker 1: we are tackling a topic that is practically buried under
Speaker 1: a mountain of fitness myths and on slee takes up
Speaker 1: a lot of our emotional energy. Bally fat. Yeah, surely
Speaker 1: I'm not alone on that one. Definitely not, And we're
Speaker 1: looking at what you can do if you're one of
Speaker 1: the one in three women who experience migrains.
Speaker 2: So common that is me.
Speaker 1: Yeah, And then we're unpacking your awkward asking for a
Speaker 1: friend health questions, yes, even though we really know there
Speaker 1: is no friend, she's a myth.
Speaker 2: But first it is time for what the health your
Speaker 2: quick dose of women's health headlines.
Speaker 1: How are you well, how are you feeling? Are you well?
Speaker 3: Are you well?
Speaker 1: Cas?
Speaker 2: I've been really blown away by this growing trend of
Speaker 2: getting women to ask their doctors about having their tubes removed,
Speaker 2: not tied, but removed for the sole purpose of preventing
Speaker 2: ovarian cancer, which is one of those cancers that just
Speaker 2: perennially scares the you know what out of women. They're
Speaker 2: absolutely terrified of it because it's caught late, there's no symptoms.
Speaker 2: It's really got a bad prognome, and studies have found
Speaker 2: that often they seem.
Speaker 1: To start in the tubes and spread up to the ovaries.
Speaker 2: And when I say tubes, i'man fillopian tubes, the ones
Speaker 2: that carry the egg from the ovary down into the uterus.
Speaker 1: Got it.
Speaker 2: And if we remove your tubes just as a preventive thing,
Speaker 2: we just take them out. Let's say we're going in
Speaker 2: there to do an endometriosis cleanup, or we're going to
Speaker 2: take your appendix out. If we remove your tubes at
Speaker 2: the same time, studies show we can prevent up to
Speaker 2: eighty percent of ovarian cancer. So you're seat, yes, if
Speaker 2: you're vulnerable, this is worth chatting about with your GP.
Speaker 2: If you've never talked about it before, it's a whole
Speaker 2: new thing that I've been really fascinated by.
Speaker 1: And you're really we're talking about post children.
Speaker 2: Well, you're not going to be able to conceive a
Speaker 2: baby naturally if you don't have tubes. Those tubes are
Speaker 2: essential for conception. But if you've done with that, or
Speaker 2: if you are going to get something like pregenetic testing anyway,
Speaker 2: like you are not going to go via the tube
Speaker 2: or route anyway, then maybe it's something that you could
Speaker 2: at least discuss with your Ovarian cancer tends to happen
Speaker 2: to older women anyway, so it's unlikely we would be
Speaker 2: doing it to a twenty year old. But there are
Speaker 2: women who are at very high risk for genetic reasons.
Speaker 2: Maybe they have conditions to put them at high risk.
Speaker 2: It is not for everyone, but it is definitely worth
Speaker 2: having a conversation with your doctor about if you think
Speaker 2: that's something that you would benefit from. This is gaining momentum.
Speaker 2: There are far more gynecologists bringing this up with their
Speaker 2: patients and doing this surgery. It's not mainstream and absolutely
Speaker 2: everywhere yet, but I think it will be, so watch
Speaker 2: this space. Yeah. Grip strength is one of these things
Speaker 2: that just keeps coming up and study after study showing
Speaker 2: that it's like a predictor of how long you're going
Speaker 2: to live and how healthy you're going to be into
Speaker 2: your age, and like so much of me is just
Speaker 2: tempted to go that is just the biggest load of
Speaker 2: bologney I've ever heard, except that every single study shows
Speaker 2: the same thing. So what I don't know, or what
Speaker 2: researchers don't know, is is it just like a proxy
Speaker 2: for your generalized strength, Like, is it sort of if
Speaker 2: you've got a strong hand, you also have strong gut
Speaker 2: muscles and strong leg muscles. Is there some special magic
Speaker 2: in the hands. At this point, I'm not going to say,
Speaker 2: like do jar opening exercises and like go to the
Speaker 2: gym specifically to work on your hands, because that's the
Speaker 2: best way to live longer.
Speaker 1: But if you are somebody who thinks that.
Speaker 2: Your health is really bad but you are awesome with
Speaker 2: a handshake, you might actually have some really good news
Speaker 2: on your side here.
Speaker 1: So rock climbers are going to live a long time. Okay,
Speaker 1: Dr Jenny over to the internet and what I've found
Speaker 1: for us to discuss this week olive oil and bone broth.
Speaker 1: I'm asking the question, de viral gut health foods actually
Speaker 1: work or are they just filling my algorithm At the moment,
Speaker 1: I'm seeing like cheer seed, water, seamoss, gel, bone broth
Speaker 1: are all being promoted as ways to improve energy, moods,
Speaker 1: and digestion. But scientists say evidence for many of these
Speaker 1: claims are limited.
Speaker 2: Yeah, I mean that's exactly right. We don't know that
Speaker 2: they don't work. Yeah, we don't know that they do work.
Speaker 2: The studies haven't been done, and it is really hard
Speaker 2: to fund a study that does not have like some
Speaker 2: commercially behind it.
Speaker 1: But gut healing or gut health is not a bad thing.
Speaker 2: What they're trying to do is nurture good bugs to
Speaker 2: grow within your guts that do really good things for
Speaker 2: your immune system and actually put out really interesting hormones
Speaker 2: that affect your entire body. We don't know that any
Speaker 2: of these particular viral trends do that more than let's say,
Speaker 2: a great salad or some rock fried vegetables. We don't know.
Speaker 1: So if you love a sey mos gel, you do you.
Speaker 1: I'm very happy for you. If you love a bone
Speaker 1: broth instead of a cup of tea or power to you.
Speaker 2: For the rest of us, just cape eating the healthy food.
Speaker 1: I don't mind a bit of bone broth, but I.
Speaker 2: Think m'sure one that you buy or do you make
Speaker 2: your own?
Speaker 1: Oh gosh, I mean I barely make toast. No, I
Speaker 1: definitely buy it. Okay. Up next, we need to talk
Speaker 1: about belly fat. We're breaking down the massive role that
Speaker 1: chronic stress plays and why losing abdominal fat has way
Speaker 1: less to do with calories and way more to do
Speaker 1: with your hormones. How are you, How are you hearing?
Speaker 1: Are you well? Are you well? All right?
Speaker 2: It is time for Are you Well, where we unpack
Speaker 2: the most important conversations that are happening in health right now. Now.
Speaker 1: First up today, CAF.
Speaker 2: I'm so excited about this because we're going to talk
Speaker 2: about the thing that is so distressing to my patients,
Speaker 2: like to a woman, and that is the belly fat.
Speaker 2: They are saying, what is going on with this? They
Speaker 2: are pointing to their bellies and to a woman, they're
Speaker 2: really worried about, even if they haven't stacked on kilos,
Speaker 2: the fact that they're thickening up around the waist. So
Speaker 2: I thought we could talk about exactly what belly fat
Speaker 2: is and how it differs to the jiggly stuff on
Speaker 2: your thighs.
Speaker 1: Ah Me and my Tami are or LEAs okay cat, yes,
Speaker 1: tell me ready.
Speaker 2: There are basically two types of fat in your body.
Speaker 2: The belly fat is also known as visceral fats. So
Speaker 2: what you see is actually only part of the story
Speaker 2: because actually most of the fat is sitting around the
Speaker 2: organs that are inside your belly. So things like your liver,
Speaker 2: your pancreas, the guts themselves now start to get coated
Speaker 2: with fat and that expands your waistline, so it's not
Speaker 2: sitting under the skin, it's actually internal. And what's really
Speaker 2: important about this is that that fat behaves differently inside
Speaker 2: your body, emitting all of these crazy pro inflammatory chemicals.
Speaker 1: That actually wreak havoc throughout the.
Speaker 2: Body, including your brain, your immune system, your heart.
Speaker 1: It's wild different to the fat on main.
Speaker 2: A thigh under my eyes, so we call that your
Speaker 2: subcutaneous fat, that wobbly fat. Actually, it doesn't seem to
Speaker 2: secrete any of those nasty adipokinds those hormones that are
Speaker 2: secreted by your visceral fat, and in some studies it
Speaker 2: could even be protective against some of those chronic diseases
Speaker 2: that are driven by your belly fat. So actually, if
Speaker 2: you see a wobble on your bottom, welcome it because
Speaker 2: it actually could be.
Speaker 1: Good news for your body.
Speaker 2: But we do need to talk about that belly fat
Speaker 2: because that's exactly what you don't want as you get
Speaker 2: older and you're looking to prevent those chronic diseases.
Speaker 1: Okay, so tell me how are we going to stop it?
Speaker 2: Okay, So think of your belly fat. Yeah, all of
Speaker 2: the chemicals that it sends out into the body, being
Speaker 2: in competition with your muscles, and all of the chemicals
Speaker 2: it sends out into your body that are anti inflammatory,
Speaker 2: build your immune system, build parts of your brain that
Speaker 2: prevent falls, like help your balance. It's wild how much
Speaker 2: those myokinds the muscle derived chemicals actually do. And the
Speaker 2: more muscle you have, the more antagonism you get of
Speaker 2: the Adippo kinds coming out of your belly fat. So
Speaker 2: in that war, muscle is the winner. We want to
Speaker 2: actually have more resistance training to actually combat that and
Speaker 2: build your muscle and actually can reduce your belly fat
Speaker 2: as well. In terms of your food, your enemy is
Speaker 2: your highly processed carbohydrates, anything out of a packet. Those
Speaker 2: things and like soft drinks as well, seem to really
Speaker 2: draw your body's ability to make belly fat. So they
Speaker 2: are like now off the menu. Like as if we
Speaker 2: haven't talked about that enough on this show, but like
Speaker 2: we have to really drive that message home. We want
Speaker 2: more protein, less stress hahah. Like that's easy to do.
Speaker 2: And cardio like your aerobics, you're running, it's gonna help,
Speaker 2: but it's not as much as you think it's. Actually
Speaker 2: your resistance training is going to do more.
Speaker 1: Really so not so I should not sign up for marathon?
Speaker 1: Is so what you're saying, Oh, you're not signing up
Speaker 1: from Maria? Oh?
Speaker 2: Yes, yes, you and I sorry wink week. Yes, we
Speaker 2: definitely don't want to be doing marathons. Well, if you
Speaker 2: love marathons and you're a listener to this show, we
Speaker 2: are so insupportive. Yes, But for the rest of us
Speaker 2: who couldn't think of anything worse, it's fine. What we
Speaker 2: can do is go for a walk, a brisk walk,
Speaker 2: for half an hour a day. But we've just got
Speaker 2: to do like probably one and a half to two
Speaker 2: hours a week of that resistance training to build up
Speaker 2: those muscles.
Speaker 1: So resistance training is literally going to do more for
Speaker 1: my Tami than the cardio. Yes, that's because I think
Speaker 1: shredded the cardio.
Speaker 2: I always think of show, and I think that certainly
Speaker 2: happens when you're younger.
Speaker 1: But as you cross over the threshold.
Speaker 2: Into menopause, you just get this tendency to accumulate the
Speaker 2: belly fat, that fat around your organs, and that's what
Speaker 2: we will really be going to war against.
Speaker 1: So why as we as we hit manopause, does it
Speaker 1: sit around our time anymore.
Speaker 2: We don't know. Like we assume it's to do with estrogen,
Speaker 2: and that estrogen puts wobbly fat onto your bottom and
Speaker 2: stops it going onto your organs, But.
Speaker 1: We don't know that for sure. We're just assuming it.
Speaker 1: What about my crunches that I don't do, they're helping
Speaker 1: all the crunches you don't go or not my cruncheese
Speaker 1: that I eat. My crunches and my ab works. I
Speaker 1: think we can say are solid.
Speaker 2: No on the exercise you don't do, but any exercise
Speaker 2: that you do that is like resist because crunches are
Speaker 2: really good for resistance, soul push ups, they're all are.
Speaker 1: Yes, we're a hard those your pilates class. That's great.
Speaker 1: So basically, no bad food and more exercise.
Speaker 2: Well, when we say no bad food, let's just say
Speaker 2: let's minimize that. Okay, and none of us in this
Speaker 2: room are wearing a halo that I can from us.
Speaker 2: You is just more good, less bad. Is going to
Speaker 2: be the motto of will from now on in We're.
Speaker 1: Gonna get Henna tattoos with that on. Oh yeah, maybe
Speaker 1: a coffee marm did emerge. Yeah. Up next, we need
Speaker 1: to talk about migraines, what's actually going on in the
Speaker 1: brain when they hit, and why they are a lot
Speaker 1: more than just a bad headache.
Speaker 2: Okay, moving on now, and in our next are you well,
Speaker 2: we're going to talk migraines.
Speaker 1: Something close to my well not my heart, my head.
Speaker 1: Let's go. So, Kath, you are a migraine sufferer. Yes,
Speaker 1: I'm a card carrying migraine sufferer. How often, Oh, I
Speaker 1: feel very hormonal around was sort of around my periods
Speaker 1: and then when I was pregnant, and now I think
Speaker 1: I've got some as part of my perimenopause mix.
Speaker 2: Yeah, they often go up in perry, mainly because you're
Speaker 2: having hormone swings, and hormones are such a driver of them.
Speaker 1: Okay, So I'm all across a migraine like a hot chip.
Speaker 1: For our listeners who aren't, what is the difference between
Speaker 1: a migraine and a headache?
Speaker 2: It can be really hard to tell. For the one
Speaker 2: in three women who do get migraines in Australia's and
Speaker 2: that number just ridiculous.
Speaker 1: It is a severe headache, and the classic.
Speaker 2: Stereotype is that it's one side that it comes on
Speaker 2: really suddenly, that it comes on with like some warning signs,
Speaker 2: maybe some blurred vision or smelling something weird, and you
Speaker 2: can't tolerate bright lights or really loud sounds, and you
Speaker 2: often want to throw up or even do throw up.
Speaker 2: In my experience, what a migraine is is a headache
Speaker 2: that is so severe that you cannot just get on
Speaker 2: with it and take a couple of pounds at all.
Speaker 2: It's a really nasty, nasty headache, and that's going to
Speaker 2: make a lot of listeners go, oh, that could be me.
Speaker 2: A lot of my patients have never been told they've
Speaker 2: got migraines, but they've been missing.
Speaker 1: Work because of headaches for years, and that.
Speaker 2: Is a migraine. That is exactly what a migraine is.
Speaker 1: Okay, So what actually causes them?
Speaker 2: Honestly, we don't know. It's interesting you were saying that
Speaker 2: a lot of your family members have them. It so
Speaker 2: runs in families, it does, okay for sure, and I
Speaker 2: see women with migraines getting much worse around Perry, but
Speaker 2: often their kids are coming home from school with really
Speaker 2: debilitating headaches. It happens in kids as well, and that's
Speaker 2: something worth knowing about. What is really easier to decode
Speaker 2: is what are your triggers. So hormones are the big one,
Speaker 2: but for a lot of women, it's stress. It's missing
Speaker 2: sleep again, that's so bad in Perry. It's like skipping
Speaker 2: meals can trigger a migraine that some people have, like
Speaker 2: chocolate or red wine. If you know what your triggers are,
Speaker 2: and sometimes you need to do a headache diary. But
Speaker 2: if you know what they are, you've got a better
Speaker 2: chance of staying on top of it and heading them off.
Speaker 1: At the past, yeah, I mean for me, it just
Speaker 1: seemed to be hormones. There was no kind of other trigger,
Speaker 1: but it was just like bang and they are You're
Speaker 1: out for the count. Okay. For those listening at home
Speaker 1: who think they might be having migraines or do have
Speaker 1: them and want to know more, what do we do
Speaker 1: when we feel when coming on?
Speaker 2: So I think the first thing to do is to
Speaker 2: check in with your GP, maybe with a headache diary,
Speaker 2: so you can see what patterns you're looking at. If
Speaker 2: it's always coming on before your period, if it's up
Speaker 2: and down like a yo yo, but you're in.
Speaker 1: Piry, that's very very valid.
Speaker 2: I also want to know what time of the day
Speaker 2: they're coming on, so we can try and help you
Speaker 2: plan for this. There are medications that we can get
Speaker 2: you to start on, and sooner is better than later.
Speaker 2: It's much easier to head off a migraine before it's
Speaker 2: at its most severe than once that horse has bolted,
Speaker 2: so early on in the piece, take either some sort
Speaker 2: of over the counter painkiller, a nonstoidlan inflammatory drug, even
Speaker 2: something like an ibuprofen or a paracetamol. If you can
Speaker 2: do that early, and you can even get these specialized
Speaker 2: migraine treatments that are called triptnds that help control the
Speaker 2: way your blood vessels work during a migraine. You can
Speaker 2: get those over the counter. It's more expensive than getting
Speaker 2: them on a script. But if you can tell your GP,
Speaker 2: I've tried these tripped hands and this worked or it
Speaker 2: didn't work, that can really help us decode going on
Speaker 2: with your headache. And even if you have a tension
Speaker 2: headache which tends to come on at the end of
Speaker 2: the day and feels like a tight band around your
Speaker 2: head and it's not so severe that you feel like
Speaker 2: you need to go home, they can trigger migraines as well,
Speaker 2: So really take a note of that and go to
Speaker 2: your GP with that, and then we might try and
Speaker 2: help get you some preventters. So there are different things
Speaker 2: that we can prevent it with. There are certain medications
Speaker 2: and if you meet the criteria for chronic migraine, this
Speaker 2: is really important.
Speaker 1: Well, does a chronic migraine.
Speaker 2: So the definition of that is that you have ten
Speaker 2: days a month with a headache of some sort, eight
Speaker 2: being severe enough to.
Speaker 1: Be that's a lot, but it's.
Speaker 2: More common than you think. Then with that, if that's
Speaker 2: happened for more than three months in a row, you
Speaker 2: are now eligible to go to a neurologist a specialists
Speaker 2: and get like. There's a whole raft of migrain preventers
Speaker 2: out there. Everything from botox on medicare go to one
Speaker 2: different points around your head and your neck. It's not
Speaker 2: meant to relax your neck muscles. It's actually meant to
Speaker 2: control the nerves that stimulate and actually cause a migraine.
Speaker 1: Through to these new.
Speaker 2: Injection medications that can prevent migraines and actually reduce them
Speaker 2: by half or even more. So, those headache diaries are
Speaker 2: worth gold because it can tell us more than you think.
Speaker 2: Most of my patients underestimate their migraines. They're not being hypochondriac,
Speaker 2: they're quite the opposite.
Speaker 1: I mean, I've suffered from migraines since I was ten.
Speaker 1: I had no idea of half of that stuff. That's incredible.
Speaker 2: Yeah, I think my passion is that more women come
Speaker 2: forward and get treatment, because I think too many women
Speaker 2: are actually just sucking it up. And I mean so
Speaker 2: many my patients don't even realize that their headaches are migraines.
Speaker 1: Yeah, And I do have to say, unless you've suffered
Speaker 1: from migraines, like I've had to pull out of social events,
Speaker 1: I've been driving to things when the trails come on,
Speaker 1: which is kind of the bleary eyed, and I've had
Speaker 1: to go home. And you know, mister friends fortieth, and
Speaker 1: I think unless you know the pain, people are like, oh,
Speaker 1: she's just got a headache, you know. So I think
Speaker 1: it's really important for women to feel seen and heard
Speaker 1: when it comes to this. I'm just asking for a friend,
Speaker 1: So my friend, they want to know. It's not for me, Jack,
Speaker 1: just asking for a friend. Ah, It's time for everyone's
Speaker 1: favorite d dinner. Asking for a friend. Awkward health questions
Speaker 1: that we all know aren't actually about your friend, but
Speaker 1: we pretend they are anyway. Okay, today's question comes in
Speaker 1: from an anonymous listener. The plot thickens, Doctor Ginny, what
Speaker 1: have we got? Hi? Doctor Ginny?
Speaker 3: And kath asking for a friend? I really am this
Speaker 3: is not about me? Is wetting yourself? Actually normal. My
Speaker 3: friend's wears it's no big deal, but every now and
Speaker 3: then she'll leak a little when she laughs, sneezes, coughs,
Speaker 3: or exercises. She's always assumed it's just one of those
Speaker 3: things that happens after having kids or when you're getting older,
Speaker 3: but now she's wondering whether that's actually true. And to
Speaker 3: be honest, so am I how much polity leakage is
Speaker 3: considered normal, if any? And at what point should someone
Speaker 3: stop putting up with it and get it checked out?
Speaker 2: Oh? Anonymous, thank you so much for sending in my
Speaker 2: favorite ques ever?
Speaker 1: Oh is it you didn't know?
Speaker 3: That? Is you?
Speaker 1: Trivia section? Yeah?
Speaker 2: Ques?
Speaker 1: Okay, let's go.
Speaker 2: Can I just tell you this is so common and
Speaker 2: no one talks about it. I agree with your friend, like,
Speaker 2: it is really really common, and not just in women
Speaker 2: who've had lots of long labors. You can have had
Speaker 2: one cesarean and it happens to you. I've got friends
Speaker 2: who've never had kids and it happens to them. And
Speaker 2: let's face it, you've got a lot of stuff sitting
Speaker 2: on what is a very small muscle of your pelvic
Speaker 2: floor and it gets stretched and then you get like
Speaker 2: a bit of menopause thrown in and there's not enough
Speaker 2: estrogen sort of to tighten up the ubrethrow.
Speaker 1: Which is the little tube that takes.
Speaker 2: We straight out from the bladder out to the vulva,
Speaker 2: and it's expelled there.
Speaker 1: Men have got such a nice little design.
Speaker 2: There's a little kink like it goes down but then
Speaker 2: it goes up again, which means that gravity is on
Speaker 2: their side. For women, it's like there is nothing to
Speaker 2: hold it in other than that pelvic floor. And if
Speaker 2: you have got extra stuff in your pelvis, let's say
Speaker 2: you've got a big uterus because you've got a fibroids.
Speaker 2: Seventy percent of women age fifty have a fibroid. Let's
Speaker 2: say you're very constipated like Kathy. You know, that's another favorite.
Speaker 2: I love talking Pooh And a lot of my patients
Speaker 2: have a lot of stuff sitting on the pelvic floor,
Speaker 2: like clogging up their rectum. It all just puts pressure
Speaker 2: on that poor little pelvic floor and she's not doing well.
Speaker 2: She's not doing well out there. And we all got
Speaker 2: told to do kegel exercises after we had our babies.
Speaker 2: Did any of us do them?
Speaker 4: No?
Speaker 2: I did not don't do a poet.
Speaker 1: Talk about it.
Speaker 2: I only ever do this when I have this conversation
Speaker 2: and then I forget tens ayears later, like we don't
Speaker 2: do it. And so the reality is studies show that
Speaker 2: pelvic floor physio can really help the problem with real
Speaker 2: world pelvic floor physio is number one, no one's got time.
Speaker 2: Number two, no one does their homework because we're all
Speaker 2: so busy, And number three, we just put up with
Speaker 2: it because we don't talk about it and we don't
Speaker 2: go like this actually sucks. I don't want my underpants
Speaker 2: smelling like a pub urinal. I don't really want to
Speaker 2: not be able to go do some sport in case
Speaker 2: I accidentally unload the entire contents of my bladder into
Speaker 2: my netbul gear. Like this is actually a really big problem,
Speaker 2: and especially if it means that you can't exercise.
Speaker 1: You don't stopping you do things, and.
Speaker 2: It's stopping you drinking and you now become dehydrated, we
Speaker 2: do need to address it. So girls, this is going
Speaker 2: to be like a well movement. Can we talk about
Speaker 2: the pelvic floor? Can we just talk about it and
Speaker 2: the fact that we do need to be doing our
Speaker 2: pelvic floor exercises that if you do your pelvic floor physio,
Speaker 2: if you address your constipation, if you deal with a
Speaker 2: massive fibroid, if it's there, we can actually help you
Speaker 2: quite a lot. And it's not like the answer is
Speaker 2: either surgery or suck it up, princess. There is a
Speaker 2: world of stuff we can do between here and there
Speaker 2: to actually fix our pelvic floors and get you drinking
Speaker 2: properly again.
Speaker 1: Okay, so what are we starting with public floor exercises?
Speaker 2: Maybe have a chat to your GP, if you feel
Speaker 2: comfortable to see your GP about it, because you could
Speaker 2: even maybe get a chronic disease management plan to actually
Speaker 2: go to a physio and get some subsidive on Medicare
Speaker 2: for that. Let's just see what happens. But I think
Speaker 2: the more we talk about it and accept that this
Speaker 2: is now impinging on your life. Your health depends on
Speaker 2: adequate hydration and doing exercises.
Speaker 1: You get older.
Speaker 2: If we talk about this, we can actually fix it.
Speaker 2: Love this, So Anonymous, can we just tell your friend,
Speaker 2: let's get her off to the GP, that what she's
Speaker 2: experiencing is not cool, it's not okay, and we're going
Speaker 2: to actually work on her pelvic floor and she's going
Speaker 2: to take it as seriously as any other health message,
Speaker 2: because this is going to impact her for the rest
Speaker 2: of her life.
Speaker 1: Wow, you are so passionate about that.
Speaker 2: Pooh, we Vagina's got all my passions.
Speaker 1: I just love that. Okay, Right, so we're all pelvic
Speaker 1: floor exercising right now.
Speaker 2: Right now we are Okay.
Speaker 1: I've got another dilamma for you, Ginny. The question comes
Speaker 1: from thirty four year old Irene Hey Irene, Hi, Doctor
Speaker 1: Ginny and Cath.
Speaker 4: I'm thirty four and i sleep seven to eight hours
Speaker 4: a night, but I'm exhausted all the time. I put
Speaker 4: it down to being a busy working mum, but lately
Speaker 4: I feel like I'm running on no matter how much
Speaker 4: rest I get. At what point does this tiredness stop
Speaker 4: being just life and become something worth getting checked out?
Speaker 2: Thanks?
Speaker 1: You're there, Irene.
Speaker 2: You've written to us as well, and I think you
Speaker 2: are there if you are getting seven to eight hours
Speaker 2: of sleep, and lucky you. I think it's because you're
Speaker 2: thirty four and you haven't quite hit your perry stage yet,
Speaker 2: because once you hit pery, no one sleeps anymore. But
Speaker 2: I have some questions for you that I think you're
Speaker 2: going to need.
Speaker 1: To take to your GP.
Speaker 2: Are you overweight, Irene, Now, this is not a do
Speaker 2: you look good in a sum in costume thing. I'm
Speaker 2: actually thinking about something called sleep out near which is
Speaker 2: underdiagnosed in women, and being overweight puts pressure on your
Speaker 2: upper airways and makes them.
Speaker 1: Collapse, particularly if you sleep.
Speaker 2: On your back. Now, men snore like a train, and
Speaker 2: women pick up there. If they're in a heterosexual relationship,
Speaker 2: they pick up on their husband's snoring like there's no tomorrow.
Speaker 2: Nobody picks up on ol snoring, cath do they No,
Speaker 2: because men sleep through the night like a dream and
Speaker 2: they don't notice we're snoring. And if they do that,
Speaker 2: don't comment on it. I've never had a patient come
Speaker 2: to me ever and say my partner, my male partner,
Speaker 2: says that I snare same sex. Partner's different story.
Speaker 1: But yeah, this is the situation.
Speaker 2: We don't even know whether you snore, but we know
Speaker 2: that you can have sleep disordered breathing, which will leave
Speaker 2: you in the morning waking up exhausted and just not
Speaker 2: being able to shake that exhausted feeling, often waking up
Speaker 2: with a headache. So often without realizing that you clench
Speaker 2: your jaw in order to try and open your airways
Speaker 2: as they're collapsing at night. So that clenching can actually
Speaker 2: make you wake up with a headache, waking up with
Speaker 2: a sore throat if you open your mouth really wide
Speaker 2: to train inhale breath, and it's often a thickness around
Speaker 2: the middle, so you actually start to put on weight,
Speaker 2: but particularly that peri visceral fat that we were talking
Speaker 2: about earlier, so that belly fat. So if that's if
Speaker 2: you've put on a lot of weight, and if you
Speaker 2: think that you could be snoring at night, if you're
Speaker 2: waking up with a headache or a sore throat, mention
Speaker 2: all of this to your doctor because we can get
Speaker 2: a sleep study and get that diagnosed and fixed. Are
Speaker 2: you bleeding heavily every single month? Because iron deficiency can
Speaker 2: also make you bone weary, tired.
Speaker 1: A blood test will help pick that up.
Speaker 2: But can I just say there too many women get
Speaker 2: an iron test get their iron fixed, and no one
Speaker 2: ever says, but why it has all your iron gone?
Speaker 2: Having iron deficiency from heavy bleeding is not normal. We
Speaker 2: need to go and get that fixed as well. So
Speaker 2: are we going to investigate that do you feel really cold?
Speaker 2: Are you more constipated than usual? Is your hair really dries?
Speaker 2: Your skin really dry? Could you have a thyroid problem? Again,
Speaker 2: your doctor will take a history, do an examination, but
Speaker 2: a blood test will be required, and then you know
Speaker 2: it could be just a post viral kind of syndrome
Speaker 2: that is happening around, like after COVID, but even after
Speaker 2: flu you can feel tired for months afterwards. They're the
Speaker 2: top sort of things that I'm thinking about. But you
Speaker 2: need your GP to go on this journey with you.
Speaker 2: But like you need to book in today, Irene or
Speaker 2: your friend does at any rate, if you're a little
Speaker 2: bit oldert Iron, because you're thirty four. But if you
Speaker 2: you're a little bit older, I'd be thinking, is perimenopause
Speaker 2: the driver here? Because literally ninety percent of my patients
Speaker 2: who are in Perry are just so tired.
Speaker 1: Yeah, oh well we're not getting sevente eight hours sleep.
Speaker 1: They are way no, definitely, so that's definitely not us.
Speaker 2: Okay, if that is ringing true for you, Kath, I
Speaker 2: have just got the best news because very Pery is here.
Speaker 2: It's been created by Muma Maya. It's basically featuring twenty
Speaker 2: five of the world's leading health experts, including me, because I.
Speaker 1: Discussing exactly what.
Speaker 2: You can do if perimenopause is basically getting on top
Speaker 2: of you.
Speaker 1: That means no wait less, no more three am doom scrolling,
Speaker 1: just credible information you can watch whenever and wherever you want.
Speaker 1: Head over to very Perry dot com dot au to
Speaker 1: get access today.
Speaker 2: Okay, kat, that's it from us another app I know
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Speaker 2: Love that.
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Speaker 1: and by we I mean doctor Ginny. We'll get to
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Speaker 1: medical advice specific to your circumstances from your healthcare professional.
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